| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.09 | $25.09 | $25.09 | |
Aetna
| Professional | $25.09 | $25.09 | $33.70 | |
CareFirst
| Professional | $32.21 | $32.21 | $41.92 | |
Cigna
| Professional | $25.60 | $25.60 | $25.60 | |
Kaiser Permanente
| Professional | $39.86 | $39.86 | $121.72 | |
United
| Professional | $20.39 | $30.59 | $45.96 |